I-Calcitriol

-Delile

• Ngaphambi kokuthatha i-calcitriol,
• Eminye imiphumela emibi ingaba mibi. Izimpawu ezilandelayo azivamile, kepha uma uhlangabezana nenye yazo, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

ICalcitriol isetshenziselwa ukwelapha nokuvimbela amazinga aphansi e-calcium nesifo samathambo ezigulini ezinzinso zazo noma izindlala ze-parathyroid (izindlala ezisentanyeni ezikhipha izinto zemvelo ukulawula inani le-calcium egazini) ezingasebenzi ngokujwayelekile. Ibuye isetshenziselwe ukwelapha i-hyperparathyroidism yesibili (isimo lapho umzimba ukhiqiza khona i-hormone ye-parathyroid eningi kakhulu [i-PTH; into yemvelo edingekayo ukulawula inani le-calcium egazini]) kanye nesifo samathambo somzimba kubantu abanesifo sezinso. ICalcitriol isekilasini lemithi ebizwa ngama-analogs ka-vitamin D. Isebenza ngokusiza umzimba ukuthi usebenzise i-calcium eningi etholakala ekudleni noma kwizithasiselo nokulawula ukukhiqizwa komzimba kwehomoni ye-parathyroid.

ICalcitriol iza njenge-capsule nesisombululo (uketshezi) ukuthatha ngomlomo. Imvamisa kuthathwa kanye ngosuku noma kanye njalo ngosuku oluthile ekuseni noma ngaphandle kokudla. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-calcitriol njengoba iqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Udokotela wakho mhlawumbe uzokuqala ngomthamo ophansi we-calcitriol futhi angakhuphula kancane umthamo wakho kuye ngempendulo yomzimba wakho ku-calcitriol.

I-Calcitriol kwesinye isikhathi isetshenziselwa ukwelapha ama-rickets (ukuthambisa nokwenza buthakathaka amathambo ezinganeni okubangelwe ukuntuleka kukavithamini D), i-osteomalacia (ukuthambisa nokwenza buthakathaka kwamathambo kubantu abadala okubangelwa ukuntuleka kukavithamini D), kanye ne-hypophosphatemia yomndeni (i-rickets noma i-osteomalacia ebangelwa kunciphise ikhono lokwephula uvithamini D emzimbeni). I-Calcitriol nayo kwesinye isikhathi isetshenziselwa ukwandisa inani le-calcium egazini lezingane ezizalwe ngaphambi kwesikhathi. Khuluma nodokotela wakho ngezingozi zokusebenzisa lo muthi ngesimo sakho.

Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokuthatha i-calcitriol,

• tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela kanye nemithi engabhalisiwe, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo, ikakhulukazi ama-antiacid aqukethe i-calcium noma i-magnesium; izithako ze-calcium; cholestyramine (Cholybar, Prevalite, Questran); i-digoxin (i-Lanoxin); isisu (‘amaphilisi amanzi’); ketoconazole; i-lanthanum (i-Fosrenol); laxatives aqukethe i-magnesium; i-steroids yomlomo efana ne-dexamethasone, i-methylprednisolone (i-Medrol), ne-prednisone (i-Rayos); ezinye izinhlobo zikavithamini D; i-phenobarbital; i-phenytoin (iDilantin, Phenytek); kanye ne-sevelamer (Renagel, Renvela). Phinda utshele udokotela noma usokhemisi wakho uma uthatha i-ergocalciferol (Deltalin, Drisdol) noma uyekile ukuyithatha ezinyangeni ezimbalwa ezedlule Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuhlole ngokucophelela ngemiphumela emibi.
• tshela udokotela wakho uma unezinga eliphakeme le-calcium. Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-calcitriol.
• Tshela udokotela wakho uma usanda kuhlinzwa noma ungakwazi ukuhambahamba nganoma yisiphi isizathu futhi uma uke waba nesifo sezinso noma sesibindi.
• utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-calcitriol, shayela udokotela wakho. Akufanele uncelise ngenkathi uthatha i-calcitriol.

ICalcitriol izosebenza kuphela uma uthola inani elifanele le-calcium ekudleni okudlayo. Uma uthola i-calcium eningi ekudleni, ungahle ube nemiphumela emibi kakhulu ye-calcitriol, futhi uma ungatholi i-calcium eyanele ekudleni, i-calcitriol ngeke isilawule isimo sakho. Udokotela wakho uzokutshela ukuthi yikuphi ukudla okuyimithombo emihle yalezi zinongo nokuthi zingaki izinsizakalo ozidingayo usuku ngalunye. Uma ukuthola kunzima ukudla okwanele kulokhu kudla, tshela udokotela wakho. Uma kunjalo, udokotela wakho angakunikeza noma ancome ukuthi kufakwe isengezo.

Uma welashwa nge-dialysis (inqubo yokuhlanza igazi ngokulidlulisa emshinini), udokotela wakho angakunikeza nokudla okune-phosphate ephansi. Landela lezi zinkomba ngokucophelela.

Uma ungenaso isifo sezinso, kufanele uphuze uketshezi oluningi ngenkathi uthatha i-calcitriol. Uma unesifo sezinso, khuluma nodokotela wakho mayelana nokuthi kufanele uphuze okungakanani uketshezi usuku ngalunye.

Thatha umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

Eminye imiphumela emibi ingaba mibi. Izimpawu ezilandelayo azivamile, kepha uma uhlangabezana nenye yazo, shayela udokotela wakho ngokushesha:

• ukuzizwa ukhathele, kunzima ukucabanga kahle, ukulahlekelwa isifiso sokudla, isicanucanu, ukuhlanza, ukuqunjelwa, ukoma okwandisiwe, ukwanda kokuchama, noma ukunciphisa umzimba
• ubuthakathaka
• ikhanda
• isisu esibuhlungu
• umlomo owomile
• ubuhlungu bemisipha
• ubuhlungu bamathambo
• ukunambitheka kwensimbi emlonyeni
• ukuchama okunzima noma okubuhlungu
• izinguquko embonweni
• ukungabi nentshisekelo ezintweni ezizungezile
• ukubona izinto ezingekho (ukubona izinto noma ukuzwa amazwi angekho)
• umkhuhlane noma amakhaza
• ubuhlungu besisu
• izitulo eziphaphathekile, ezinamafutha
• ukuphuzi kwesikhumba noma kwamehlo
• ikhala eligijimayo
• kwehle isifiso sobulili
• ukushaya kwenhliziyo okungajwayelekile
• ukuqubuka
• isifuba
• ukulunywa
• ukuphefumula kanzima noma ukugwinya

Uma uthola imiphumela emibi kakhulu, wena noma udokotela wakho ungathumela umbiko kuhlelo lwe-Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting online (http://www.fda.gov/Safety/MedWatch) noma ngocingo ( 1-800-332-1088).

Gcina le mithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Gcina ekamelweni lokushisa futhi kude nokushisa okweqile nomswakama (hhayi endlini yangasese). Vikela le mithi ekukhanyeni.

Imithi engadingeki kufanele ilahlwe ngezindlela ezikhethekile zokuqinisekisa ukuthi izilwane ezifuywayo, izingane nabanye abantu abakwazi ukuzidla. Kodwa-ke, akufanele ukhiphe le mithi ethoyilethi. Esikhundleni salokho, indlela engcono kakhulu yokulahla imithi yakho ngohlelo lokubuyisa umuthi. Khuluma nosokhemisi wakho noma uthinte umnyango wangakini wokulahla udoti / wokusebenzisa kabusha ukuze ufunde ngezinhlelo zokubuyisa emphakathini wakho. Bheka iwebhusayithi yakwa-FDA's Safe Disposal of Medicines (http://goo.gl/c4Rm4p) ukuthola eminye imininingwane uma ungakwazi ukufinyelela kuhlelo lokubuyisa.

Kubalulekile ukugcina yonke imishanguzo ingabonakali futhi ifinyeleleke ezinganeni njengoba iziqukathi eziningi (njengezingqondo zamaphilisi zamasonto onke kanye nalawo amaconsi wamehlo, okhilimu, amabala, kanye nama-inhalers) azimeleki ezinganeni futhi izingane ezincane zingazivula kalula. Ukuvikela izingane ezisencane ekufakeni ubuthi, hlala uvala amakepisi okuphepha bese ubeka umuthi endaweni ephephile - eyodwa ephezulu futhi engekho futhi engabonakali kubo futhi efinyelela kuyo. http://www.upandaway.org

Uma kwenzeka ukweqisa ngokweqile, shayela ucingo losizo lokulawula ubuthi ku-1-800-222-1222. Imininingwane iyatholakala online ku-https: //www.poisonhelp.org/help. Uma isisulu siwile, saba nokuquleka, sinenkinga yokuphefumula, noma singakwazi ukuvuswa, shayela ngokushesha abezimo eziphuthumayo ku-911.

Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

• ukuzizwa ukhathele, kunzima ukucabanga kahle, ukulahlekelwa isifiso sokudla, isicanucanu, ukuhlanza, ukuqunjelwa, ukoma okwandisiwe, ukwanda kokuchama, noma ukunciphisa umzimba
• ubuthakathaka
• ikhanda
• isisu esibuhlungu
• umlomo owomile
• ubuhlungu bemisipha noma bethambo
• ukunambitheka kwensimbi emlonyeni
• ukuchama okunzima noma okubuhlungu
• izinguquko embonweni
• ukubona izinto ezingekho (ukubona izinto noma ukuzwa amazwi angekho)
• umkhuhlane noma amakhaza
• ubuhlungu besisu
• izitulo eziphaphathekile, ezinamafutha
• ukuphuzi kwesikhumba noma kwamehlo
• ikhala eligijimayo
• kwehle isifiso sobulili
• ukushaya kwenhliziyo okungajwayelekile

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho uzo-oda izivivinyo ezithile zelebhu ukuze ahlole impendulo yakho ku-calcitriol.

Ungavumeli omunye umuntu ukuthi athathe imithi yakho. Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nokugcwalisa umuthi wakho.

Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.

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